Inspection Reports for Potomac Place Assisted Living
2133 Montgomery Ave, Woodbridge, VA 22191, United States, VA, 22191
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Inspection Report
Complaint Investigation
Census: 81
Deficiencies: 0
Feb 20, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-02-11 regarding allegations in the area of Resident Care.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings will be posted publicly within 5 business days.
Complaint Details
Complaint related to Resident Care; investigation did not substantiate the allegations.
Report Facts
Number of residents present: 81
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 62
Deficiencies: 3
Feb 19, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection identified non-compliance with several standards including failure to obtain required signatures on emergency power source disclosures, failure to maintain updated hospice agreements, and incomplete physician orders for PRN medications. Plans of correction were submitted and corrective actions initiated.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure written acknowledgement of the onsite emergency electrical power source disclosure was signed by the resident or legal representative. |
| Facility failed to ensure an agreement with hospice providers was updated and retained at the facility. |
| Facility failed to ensure PRN medication orders included instructions for what to do if symptoms persist. |
Report Facts
Number of residents present: 62
Number of resident records reviewed: 6
Number of staff records reviewed: 4
Number of resident interviews conducted: 1
Number of staff interviews conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeff Marnien | Licensing Inspector | Contact person for questions about the inspection |
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 0
Nov 14, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-11-13 regarding allegations in the area of Administration.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. No violation notice was issued.
Complaint Details
Complaint related to allegations in the area of Administration; investigation did not substantiate the complaint.
Report Facts
Number of residents present: 85
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 85
Deficiencies: 0
Nov 14, 2024
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 2024-10-29 regarding allegations in the area of Resident Care.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The licensing inspector completed a tour of the facility and reviewed resident records and staff interviews.
Complaint Details
Complaint investigation related to Resident Care; the complaint was not substantiated.
Report Facts
Number of residents present: 85
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 4
Inspection Report
Monitoring
Census: 95
Deficiencies: 0
Apr 24, 2024
Visit Reason
The inspection was a monitoring visit conducted to review various areas including administration, personnel, resident care, buildings and grounds, and emergency preparedness.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector observed residents during activities and medication administration passes and reviewed multiple facility documents.
Report Facts
Resident records reviewed: 6
Staff records reviewed: 5
Resident interviews conducted: 3
Staff interviews conducted: 5
Inspection Report
Renewal
Census: 85
Deficiencies: 0
Mar 23, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility Potomac Place to review compliance with licensing requirements.
Findings
The Licensing Inspector reviewed multiple areas including administration, personnel, resident care, and emergency preparedness. Records, interviews, and various reports were examined, and residents were observed during meal times and activities.
Report Facts
Records reviewed: 17
Interviews conducted: 12
Inspection Report
Monitoring
Census: 82
Deficiencies: 0
May 9, 2022
Visit Reason
The inspection was a monitoring visit to review facility compliance, including resident records, staff records, and observation of activities and medication pass.
Findings
The inspection included review of self-reported incidents, resident and staff records, and observation of residents and staff during activities and medication administration. The Licensing Inspector also reviewed activity calendars, menus, resident council minutes, fire drills, and health care oversight.
Report Facts
Number of resident records reviewed: 6
Number of staff records reviewed: 5
Number of interviews conducted: 8
Inspection Report
Renewal
Census: 66
Deficiencies: 0
Mar 19, 2021
Visit Reason
A renewal inspection was initiated on March 19, 2021 and concluded on March 23, 2021 to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection reviewed resident and staff records, activities, staff schedules, healthcare oversight, fire drills, and the dietician's report. No violations were found and no deficiencies were issued.
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
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